Child Registration Form - Hub On The Hill
Please provide details about the child, parent contact information, and any medical or dietary requirements.
Youth Club - Hub On The Hill
🎉 Youth Club at Hub on The Hill 🎉 Come and hang out, play games, chill with friends, and get involved in fun sports & activities every week!📍 Hub on the Hill. Every Tuesday, Wednesday, Thursday. But before you come, here’s what you need to know: Fill in this form or collect one from Hub on the Hill for each participant 🚫 Respect to staff and other participants is a must. We’re proud to offer a safe and welcoming space for everyone – but we need your help to keep it that way. 👉 Disruptive, rude, or aggressive behaviour will not be tolerated. 👉 Anyone not respecting staff, volunteers, the space, or each other may be asked to leave. 👍 Good behaviour only. Let’s keep Youth Club fun, friendly, and safe for everyone ✅ What to Expect: Sports & activities🎨 Crafts & chill-out zone.
Child's Full Name
*
First Name
Last Name
Other Child's Full Name (Only fill in if contact information is the same for both participants)
First Name
Last Name
Child's Date of Birth
*
-
Day
-
Month
Year
Date
Other Child's Date of Birth (Only fill in if contact information is the same for both participants)
-
Day
-
Month
Year
Date
Parent/Guardian Full Name
*
First Name
Last Name
Phone Number
*
Please enter a valid phone number.
Format: 00000000000.
Parent/Guardian Email Address
example@example.com
Backup Parent/Guardian Name
First Name
Last Name
Backup Parent/Guardian Phone Number
Please enter a valid phone number.
Format: 00000000000.
Medical Requirements (e.g., allergies, medications)
*
Other Child Medical Requirements (e.g., allergies, medications) (Only fill in if contact information is the same for both participants)
Dietary Requirements (e.g., food allergies, restrictions)
*
Other Child's Dietary Requirements (e.g., food allergies, restrictions) (Only fill in if contact information is the same for both participants)
Day Attending Hub on The Hill
*
Tuesday
Wednesday
Thursday
Other Child Day Attending Hub on The Hill (Only fill in if contact information is the same for both participants)
Tuesday
Wednesday
Thursday
Photo Consent?
*
Yes
No
Other Child Photo Consent? (Only fill in if contact information is the same for both participants)
Yes
No
Name of Person Completing
*
First Name
Last Name
Register
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